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Application Intervention® Intake Form

It’s important that we have the completed intake form in advance of your call so that Kaneisha has the information she needs to ask you the right questions.

Application Intervention® Intake Form

Name*
First Last
Name you prefer to be called*
Birthday (excluding year)*
(MM/DD)
Current Age*
Phone Number*
Best email to send you messages*
Email address you use for Google Drive (Google Docs)*
Please indicate a gmail account.
Best Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact Policy: In the event that The Art of Applying is concerned that Client is in danger or is in danger of harming someone else, Client authorizes The Art of Applying to contact emergency services and/or Client's Emergency Contacts, and to provide them with any appropriate information relevant to the situation, including releasing Client's Emergency Contact information to emergency services. Client acknowledges that The Art of Applying is not providing psychotherapy or mental health counseling and is under no legal duty to report.*
Emergency Contact #1*
First Last
Emergency Contact #1's relationship to you*
Emergency Contact #1's phone number*
Emergency Contact #1's email address*
What is your country of citizenship?*
What city, state, and country do you LIVE IN NOW?*
Where did you go for college?*
What was your major in college?*
What was your GPA in college?*
Which of the following courses have you taken and earned a B or better?*
Some of these courses are recommended for increasing your competitiveness and preparation for top policy school and business school programs.
- Statistics
- Macroeconomics
- Microeconomics
- Accounting
- Finance
- Multivariable Calculus
- None of the above.
If you have additional degrees, list them here.*
Which schools do you plan on applying to?*
To which degree(s) are you applying?*
Strengths you would like to highlight in your application*
Do you have any potential "red flags" with your candidacy (i.e. failing grades, low test scores, legal issues, etc.)?*
What is your current employment status?*
What is your current profession?*
How many years of post-college full time work experience will you have when you submit your applications?*
What is your dream job right after graduation from graduate school? (Graduation – 5 years out)*
What is your ultimate long-term dream job?
Notes about your personal and professional background
Feel free to upload a resume if you like.
Max. file size: 50 MB.
Which tests have you taken?*
- GRE
- GMAT
- LSAT
- MCAT
- TOEFL / IELTS
- Executive Assessment
- None
How many times have you taken the above exam(s) in the past?*
Provide test scores for tests you've taken:
Which tests do you plan to take in the next 12 months?*
- GRE
- GMAT
- LSAT
- MCAT
- TOEFL / IELTS
- Executive Assessment
- None
What books, classes, programs, or resources are you currently using or plan to use to study for the tests you plan to take?
What are the top 3 things you would like to accomplish during your Application Intervention®?*
What are your current questions for Kaneisha?*
Would you like to add anything else?
You’re welcome to add in any questions, clarifcations or inquiries you have on your client folder as well.

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Sample College Resume

Full Name*
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Would you like to be added to our mailing list?*
- Yes, please add me to the list!
- No, I don't want to be added to the mailing list.

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Sample of an Essay Topic Inventory

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- Yes, please add me to the list!
- No, I don't want to be added to the mailing list.

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